摘要
目的探讨基于奥马哈理论的围手术期全程康复管理对老年经皮冠状动脉介入治疗(PCI)患者自我管理能力、6分钟步行距离及并发症的影响。方法选取我院60例老年PCI患者,采用随机分组的方式将60例患者分为对照组及干预组。对照组采取传统围术期护理;在对照组护理基础上,干预组采取基于奥马哈理论的围手术期全程康复管理。统计两组护理前后并发症、自我管理能力及6分钟步行距离。结果干预前两组各项指标差异无统计学意义。干预后,干预组自护责任感、自我概念、自我护理技能及健康知识水平、6分钟步行距离均高于对照组。研究组穿刺点出血、手部肿胀、手指麻木并发症发生率降低。结论基于奥马哈理论的围手术期全程康复管理应用于老年PCI患者,可提高患者自我管理能力,预防并发症发生,在改善患者运动耐力和提高患者护理满意度方面具有积极意义。
Objective To investigate the impact of perioperative rehabilitation management based on Omaha theory on self-management ability,6-minute walking distance and complications of elderly patients with percutaneous coronary intervention(PCI).Methods A total of 60 patients with PCI in our hospital were randomly divided into a control group and a study group.The control group received traditional perioperative care,while the study group received perioperative rehabilitation management based on the Omaha theory in addition to the control group s care.The complications,self-management abilities,and 6-minute walking distances were recorded for both groups before and after nursing.Results Before the intervention,there were no significant differences in various indicators between the two groups.After the intervention,the self-care responsibility,self-concept,self-care skills,and health knowledge level of the study group,as well as the 6-minute walking distance,were significantly higher than those of the control group.The incidence of complications such as puncture site bleeding,hand swelling,and finger numbness in the study group was significantly reduced.Conclusion The application of perioperative rehabilitation management based on the Omaha theory to elderly patients with PCI can improve their self-management abilities,prevent the occurrence of complications,and has a positive impact on improving patients exercise tolerance and satisfaction with nursing care.
作者
竟爱萍
赵俊方
宋琼
霍金秋
张雪梅
王怡文
JING Aiping;ZHAO Junfang;SONG Qiong;HUO Jinqiu;ZHANG Xuemei;WANG Yiwen(Binzhou Medical University Hospital,Binzhou 256603,China)
出处
《中国老年保健医学》
2024年第5期157-159,164,共4页
Chinese Journal of Geriatric Care
关键词
围手术期
奥马哈理论
全程康复管理
自我管理能力
perioperative period
Omaha theory
whole-course rehabilitation management
self-management ability
作者简介
竟爱萍,硕士学位,研究方向:临床护理;通信作者:王怡文,硕士学位,研究方向:临床护理。
